Revised Instrument

EAC HAVA GRANT - BUDGET WORKSHEET

OMB#: 3265-0023

Expiration Date: 9/30/2025

GRANTEE NAME:

AWARD TYPE:

MATCH %:

PROJECT PERIOD START DATE:

INDIRECT COST % (IF APPLIED):

PROJECT PERIOD END DATE:

INDIRECT COST TYPE:

SECTION A: GRANT BUDGET

YEAR ONE

YEAR TWO

YEAR THREE

YEAR FOUR

YEAR FIVE

TOTAL:

FEDERAL AMOUNT

$-

DE MINIMIS

NON FEDERAL MATCH

$-

MTDC

TOTAL:

$-

$-

$-

$-

$-

$-

TDC

SECTION B: BUDGET CATEGORIES (Federal Only)

Voting Equipment

Voting Processes

Voter Registration Systems

Election Auditing

Cyber and Physical Security

Voter Education

Accessibility

Other (Provide description in this box)

Other (Provide description in this box)

TOTALS

% Fed Total

PERSONNEL

$-

FRINGE RELATED TO SALARY

$-

EQUIPMENT

$-

TRAINING

$-

CONTRACTUAL

$-

OTHER (Describe)

$-

OTHER (Describe)

$-

SUBGRANTS

$-

TOTAL DIRECT COSTS

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

INDIRECT COSTS (if applied)

$-

TOTAL PROGRAM BUDGET

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

PERCENTAGE BY CATEGORY

SECTION C: NON FEDERAL MATCH RESOURCES

SOURCE DESCRIPTION

STATE FUNDS

OTHER

TOTAL:

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-